NPI | 1053578112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 515827) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 515827) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2008-05-16 |